HomeMy WebLinkAboutPermit Building 2000-05-22Job# 99-01624-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 2
Job Number: 99-01 624-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot #: 02900
Subdivision:
TRANS$:01-00018??
DATE:I'IAY 2? 1000
Al'lT RECD:2 $ 68.20
IHANGE:
IASHIER:0]?
SPRINGFIELD
€n
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2555 Viewmont Ave Spr
AssessorsMap#: 17032441
Lot: Block: Addition:
ctTY oF SPRINGFIEL4 OREGON
Owner: John Rickford
Address: 2555 Viewmont Ave
Scope Of Work: Storage Building
Phone Number:
City/State/Zip:
New
541-747-7270
Springfield, OR97477
Value: $8,803
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
2RNW
(VN) Wood Frame
Office Use
-
Land Use: Single Family Dwelling
Zoning Code: LDR
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group
Heat Source:
Sq. Footage:
Store
To request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required Inspections
Building I
-After trenches are excavated.
-After forms are erected but prior to concrete placement.
-Prior to cover.
-When all required inspections have been approved and the building is complete
Electrical I
Footing
Foundation
Framing
FinalBuilding
Rough Electrical
Electrical Service
Fina! Electrical
-Prior to cover.
-Must be approved to obtain permanent power
-When all electricalwork is complete.
Plumb
Storm Sewer Line - Prior to filling trench.callin
,1UmbC tuaUU
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDERTHIS PERMITIS NOT
COIUMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
i r -rr, lurtr.v!!VL.!i,c..r,UqLitlgb yUU r.
rollour rules adopted bv the Oregon Utilit
otifrcatiori center Those .ule-s are setfo
oAFi 952-Utrl ^001(i thrc;ugh OAr-i 952-0(
)90 You mav obtarn oopies of the rules
Zoning: LDR
FloodPlain? [ Wetlands? [
Journal numbers
1:
Comments:
Planner:
Urban Growth Boundary?
Quantity Of Fill:
Supplier:
Drainage:
Floodway FEMA:
Job# 99-01624-01
Overlay District:
# of Street Trees:
Page 2 of 2
Land Use: Single Family Dwelling
Pave Driveway? E
2:
Additiona! Requirements
tr Gtenwood Area? [ Required Attachments:
Source Locn:
Material:
Flood Plain FEMA:
Construction Types(VN) Wood Frame
Occu pancy Grou ps: Store
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:Accessory:
# Of Stories: 1 Height (feet): 12
Current Units: Proposed Units:
Census Code: Does not apply
Total:
Fee Paid On Receipt# Vatue/Quantity Fee Amount
Building Permit
State Surcharge For Building Permit
Building Administrative Fee
Total Building
01t31t2000
0113112000
0113112000
412
412
412
8,803 $74.50
$5.22
$2.24
$81.e6
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge For Electrical Permit
Electric Administrative Fee
Total Electrical
Electrical
05t22t2000
0512212000
0512212000
05t22t2000
1827
1827
1827
1827
1
6
$50.00
$12.00
$4.34
$1.86
$68.20
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Plumbing
0113112000
01t31t2000
0113112000
01131t2000
412
412
412
412
30
$.00
$1.75
$25.00
$.75
$27.s0
Grand Total
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
during construction.
$177.66
Signature Date
3:
Zoning 7- oo
225 FIEIE STREET -z
SPRINGFIELD,
iAuthla&E9g9tureINSPECTION REQIIEST
OFFICE: 726-3759
1 . LOCATION OF INSTALI^ATION ylqz-
IJGAL DESCRIPTION
JOB DESCRIP{TION
COT{TRACTOR INSTALI",ATION ONLY
trical Contractor .
Addr
Ci ty
Supervisor
Expi ra t ion
Number
ELECTRICAL PERHIT APPLICATION
City Job Numbe r q? -o /ber/- 6r
3. COHPI.JTE FEE SCMDULE BELOIT
A Nev Residential-Single or
MuI t i-Fami lY
Service Incf
er dvel-Iing uni t.
ed:Items Cost
p
ud
Sum
Permits are non-transferable and expire
ii vort< is not started vithin 180 days
;; i;;;";"" ot if vork is susPended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home. or
Hodular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
Ins tallation, Alterations
or Relocation:
200 amps or less I
20L amps to 400 amPs -_-401 amps to 600 amPS
-
601 amps to 1000 amps-
Over 1000 amPs/voIts
-
Reconnect OnlY
TemporarY Services or Feeders
inri.ffuiion, Alteration or Relocation
2.
E1
Con
Exp
The installat
ProPertY I ov
ero=u:fr?du5a1e ' lea
:l3NUH0nners Sisnat
0e'89 $ tr:CIJlu lRU
000e ffi Aut,l:llu0
201 amps to 400 anps .--.
Over 401" to 600 amps :
Over 600 amPS or 1000 volts
B
C
D
E
603b-s s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
one
$40
$ss
$80
see
.00
.00
.00
ilBlr above
str tr. N r
tion Date
ature of SuPervi Electrician
Ovners Name o
Addres
Ci ty Phone /7-7zzD
OVNER INST ALTATION
Branch Circui ts
Nev, Alteration or Extension Per Panel
one circuit $ 35'oo
iach Additional-
Circuit or vith Service
oi r".a"t Permit L S 2'00
*J
u_/
N/a
on is being made on
r.'hich is not intended
I
n
S
u
Miscellaneous (Service/feeder
-Each installation
Pu*p o. irrigation $
iieilzo"tline Lighting_- iLimited EnergY/Res )
SUBTOTAL OF ABOVE
7% State Surcharge
32 Administrative Fee
TOTAI
not included)
40.00
40.00
20.00
36.00
e or rent
DATE:
TdBT
RECEIVED BY:
5
d. LD
\( iet,
be.-__2,54-
/.rb
,
Job# 99-01624-01 Paoe 1 ol2- TRANS*:01-0000412
DATE:JAN 31 TOOO
Al'lT RECD:Z $ 109.46
CHANEE:
CASHiER:059
SPHIiIGFIELD
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 2555 Viewmont Ave Spr
AssessorsMap#: 17032441
Lot: Block: Addition:
Job Number: 99-01624-01
Office:726-3759
Inspection Line: 726-3769
Tax Lot#: 02900
Subdivision:
ctTY oF SPRTNGF7ELD, OREGON
Owner: John Rickford
Address: 2555 Viewmont Ave.
Scope Of Work: Storage Building
Phone Number:
City/State/Zip:
New
541-747-7270
Springfield, OR97477
Value: $8,803
Quad Area:
# Of Units:
Constr. Type: (VN) Wood Frame
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings: 1
Occupancy Group: Accessory Struct
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Building
Foundation
Framing
FinalBuilding
Storm Sewer Line -Prior to filling trench.
Construction Types(VN) Wood Frame
Occupancy Groups:Accessory Structure
# Of Buildings: 1
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
-After forms are erected but prior to concrete placement.
-Prior to cover.
-When all required inspections have been approved and the building is complete.
Plumbing
# Of Stories: 1 Height (feet): 12
Current Units: Proposed Units:
Gensus Code: Does not apply
Total:
Building Permit
Accessory:
01t31t2000 412 8,803 $74.50
Fee Paid On Receipt# Value/Quantity Fee Amount
tr
Job# 99-01624-01 Page2 ot 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Building
State Surcharge For Building Permit
Building Administrative Fee
Total Building
01t31t2000
01/31/2000
412
412
$5.22
$2.24
$81.96
Minimum Plumbing Permit Fee
State Surcharge For Plumbing Permit
Storm Sewer Footage
Plumbing Administrative Fee
Total Plumbing
Plumbing
01t31t2000
01t31t2000
01t31t2000
01t3112000
412
412
412
412
30
$.00
$1.75
$25.00
$.75
$27.s0
Grand Total $109.46
By signature, I state and agree that I have carefully examined the completed application and do
hereby certify that all information herein is true and correct, and I further certify that any and all work
perforhed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of
the State of Oregon. I further state that only contractors and employees who are in compliance with
ORS 701.055 will be used on this project. I further agree to ensure that all required inspections are
requested at the proper time, that the project address is readable from the street, that the permit card
is located at the front of the property, and the approved set of plans will remain on the site at all times
during construction.
)
i .1/ a:'t , -
^
.'t-.:,2. L" 7+< *Jlet
I
II z4t -\,
Signature Date
/